Mikaela Overton Smith, PHD
NPI 1154920429ActiveIndividual· Psychologist· Boise, ID
Psychologist (PHD) in Boise, Idaho, licensed in ID and MI, with an NPI issued in October 2020. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1154920429 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Oct 19, 2020 |
| Last updated in NPPES | Jul 9, 2026 |
| Certified by provider | Jul 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 6261175 | ID |
| Psychologist | 103T00000X | 6352000475 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (ID) |
|---|
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